Active NPI
Michael R Lorello, P.A.
- Physician Assistant
- Largo, FL
National Provider Identifier
1710969597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9101788
- Practice address
- 801 W Bay Dr Ste 232
Largo, FL 33770-3269 - Phone
- (727) 316-5033
- Fax
- (727) 316-5033
- NPI assigned
- Nov 16, 2005
- Last updated
- Sep 27, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00052700 | NJ | |
| Physician Assistant | 363A00000X | PA9101788 | FL | Primary |
| Physician Assistant | 363A00000X | PA100654 | MA | |
| Physician Assistant | 363A00000X | C5-0012026 | DE | |
| Physician Assistant | 363A00000X | MA002676L | PA |
Addresses
Primary practice location
801 W Bay Dr Ste 232
Largo, FL 33770-3269
Mailing address
801 W Bay Dr Ste 232
Largo, FL 33770-3269
Phone (727) 316-5033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291311900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, PA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5-0012026 | DE | MD | Physician Assistant |
| PA9101788 | FL | MD | Physician Assistant |
| 25MP00052700 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Clinic Medical Group Inc | Current | Accepting new patients | |
| Inpatient Consultants of Florida, Inc | Physician Assistant | Current | Accepting new patients |
| Inpatient Consultants of Pennsylvania PC | Physician Assistant | Current | Accepting new patients |
| Kah Development 7, L.L.C. | Past | Accepting new patients | |
| Advantage Wellness Services | Past | Accepting new patients |
Locations
3131 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 341-0551
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
2600 Belmont Ave
Philadelphia, PA 19131
Phone (215) 581-0705
720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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Physician Assistant
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- NPI 1255862439
-
dba Foundation Medical Group
- Hospitalist Physician
- Boca Raton, FL
- NPI 1750872545
-
- Hospitalist Physician
- Hockessin, DE
- NPI 1457837981
-
- Hospitalist Physician
- Wilmington, DE
- NPI 1801325717
-
- Gastroenterology Physician
- Clearwater, FL
- NPI 1124440912
-
- Hospitalist Physician
- Newtown Square, PA
- NPI 1669880175
Physician Assistant
-
- Nurse Practitioner
- Gainesville, FL
- NPI 1568785384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790467200000",
"number": "1710969597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 W BAY DR STE 232",
"city": "LARGO",
"state": "FL",
"postal_code": "337703269",
"telephone_number": "727-316-5033",
"fax_number": "727-316-5033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W BAY DR STE 232",
"city": "LARGO",
"state": "FL",
"postal_code": "337703269",
"telephone_number": "727-316-5033",
"fax_number": "727-316-5033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORELLO",
"first_name": "MICHAEL",
"middle_name": "R",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2026-09-27",
"certification_date": "2026-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00052700",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9101788",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA100654",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DE",
"license": "C5-0012026",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA002676L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "291311900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.